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You will need an enema bag to take an Enema. Most people will find it difficult to retain an enema for more than a few minutes. If the bowel is not clean, then the peristaltic action of the colon will push against the fecal masses and produce intense pressure in the rectum. This will frequently happen with your first enema in a series. Not much to do but expel and try again. If you get a strong cramp and an urge to expel, getting up is the worst thing you can do. Making the descending colon vertical adds gravity to the force of water wanting out of the rectum. This is how to have an accident. If you can, wait while lying down. The pressure will pass in 10-15 seconds as the wave of peristalsis passes the sigmoid colon and reaches the end of the rectum. Or you can use a retention plug. Then you can get up and expel without straining to hold it in. If you must go to the toilet, and the pressure is to intense, you can hold the buttocks together with both hands or press a folded wash cloth against your anus. To help the anal muscles retain the solution.

When expelling the enema:
Massage abdomen in a clockwise direction this will help move the solution back toward the rectum and anus.

Massaging the abdomen while expelling the enema helps move the solution and feces toward the rectum and out the anus.

The best position for expelling your enema is squatting over the toilet. The squatting position puts pressure on your abdomen from your thighs.
In many countries, toilets are made so that people squat when they move their bowels. The Welles Step positions your body so that you are squatting when you sit on the toilet. Squatting,  supports the abdominal wall and the bowel as we bear down, brings about an easier bowel evacuation. In this way.
People who use the Welles Step tend to have fewer hemorrhoids, hernias, anal fissures, varicose veins and use less laxatives.
It fits under the toilet when not in use.

 

It is best if you place a  Welles Step  and then squat down over the toilet to release your enema

 

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Warning: Do not use enemas or laxatives if abdominal pain, nausea, or vomiting are present unless directed by your health care provider.
  Rectal bleeding or failure to have a bowel movement after use of a laxative or enema may indicate a serious condition.
  Discontinue use and consult your health care provider.
  Statements contained within these web pages are for informational purposes only,
and have not been evaluated by the FDA.
  These products are not intended to diagnose, treat, cure, or prevent any disease.
  If pregnant or have an existing medical condition consult your healthcare provider before using.